Symptoms in the pharmacy : a guide to the management of common illnesses

387 Pages·2014·2 MB·English

by  Blenkinsopp

Symptoms in
the Pharmacy
A Guide to the Management
of Common Illnesses
SEVENTH EDITION
Alison Blenkinsopp, Paul Paxton
and John Blenkinsopp

Symptoms in the Pharmacy

Symptoms in the Pharmacy
A Guide to the Management
of Common Illness
ALISON BLENKINSOPP
BPharm,FRPharmS,PhD
ProfessorofthePracticeofPharmacy
SchoolofPharmacy
UniversityofBradford
UK
PAUL PAXTON
MB,ChB,DRCOG
FormerGP,andGPTrainer,CambridgeUK
AND
JOHN BLENKINSOPP
MB,ChB,BPharm,MRPharmS
ChiefMedicalOfficer,AviperoLtd.,UK
seventh edition
Thiseditionfirstpublished2014(cid:2)C2014JohnWiley&SonsLtd
(cid:2)C2005,2009byAlisonBlenkinsopp,PaulPaxtonandJohnBlenkinsopp
(cid:2)C1989,1995,1998,2002byBlackwellPublishingLtd
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Blenkinsopp,Alison,author.
Symptomsinthepharmacy:aguidetothemanagementofcommonillnesses/AlisonBlenkinsopp,PaulPaxton,and
JohnBlenkinsopp.–Seventhedition.
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Includesbibliographicalreferencesandindex.
ISBN978-1-118-66173-4(pbk.)
I.Paxton,Paul,author. II.Blenkinsopp,John,author. III.Title.
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1 2014
Contents
Preface,vi Women’sHealth
Cystitis,225
Introduction:HowtoUseThis Dysmenorrhoea,234
Book,1 Menorrhagia,243
Vaginalthrush,246
RespiratoryProblems Emergencyhormonal
Coldsandflu,19 contraception,255
Cough,33 Commonsymptomsinpregnancy,263
Sorethroat,45
Allergicrhinitis(hayfever),53 Men’sHealth
Respiratorysymptomsfordirect Benignprostatichyperplasia,269
referral,62 Hairloss,274
GastrointestinalTractProblems EyeandEarProblems
Mouthulcers,69 Eyeproblems:thepainfulredeye,281
Heartburn,76 Commonearproblems,289
Indigestion,85
Nauseaandvomiting,95 ChildhoodConditions
Motionsicknessand Illnessesaffectinginfantsand
itsprevention,98 childrenupto16years,297
Constipation,102 Colic,303
Diarrhoea,112 Teething,306
Irritablebowelsyndrome,124 Napkinrash,307
Haemorrhoids,132 Headlice,313
Threadworms(pinworms),319
SkinConditions Oralthrush,323
Eczema/dermatitis,143
Acne,153 Insomnia
Athlete’sfoot,159 Difficultysleeping,331
Coldsores,167
Wartsandverrucae,172 PreventionofHeartDisease
Scabies,178 Preventionofheartdisease,343
Dandruff,182
Psoriasis,186 Appendix:SummaryofSymptoms
forDirectReferral,359
PainfulConditions
Headache,193 Index,361
Musculoskeletalproblems,210
Colourplatesarefound
facingpage184and185.
CONTENTS v
Preface
Thisistheseventheditionofourbookandappears25yearsafterthe
first. Among the changes since the sixth edition is the move of more
medicinesfromtheprescription-onlymedicine(POM)categorytothe
pharmacy (P) medicine category. New sections and case studies on
orlistatandtranexamicacidarethusincluded.Importantsafetyadvice
about the use of OTC medicines in chidren has been incorporated.
Wehaveupdatedandextendedinformationaboutcommoninfectious
diseasestoreflectchangingpatternsofillness.
There have also been further changes in the National Health Ser-
vice (NHS). The importance of self-care continues to increase recog-
nizedandthepublichealthroleofcommunitypharmacieshasbecome
more prominent. NHS-funded community pharmacy minor ailment
schemes have spread to more areas in England as well as in Wales,
NorthernIrelandandScotland.Undertheseschemespatientswhoare
exemptfromNHSprescriptionchargescanobtainfreetreatmentfrom
the pharmacy. The schemes are well used, particularly for children’s
minor illness and we have further expanded our explanation of com-
mon childhood illnesses to enable the pharmacist to manage where
appropriate,toreassureandreferwhennecessary.
Astrengthofthisbookhasalwaysbeenitsevidence-basedapproach.
Thefindingsofnewsystematicreviewsofpublishedevidencetogether
withevidence-basedtreatmentguidelineshavebeenincorporatedand
updatedthroughout.Wehavecontinuedtointroduceevidenceoncom-
plementarytherapies.Wehavestrengthenedouradviceonworkingin
partnershipwithpatients.
Asforpreviouseditionswehavereceivedpositiveandconstructive
feedback and suggestions from pharmacists (undergraduate students,
pre-registrationtraineesandpractisingpharmacists)andhavetriedto
actonyoursuggestions.Wehavecontinuedtoaddmoreaccountsby
patientstoourcasestudies.Wethankallthepharmacistswhosentus
commentsandwehopeyoulikethenewedition.
We once again thank Kathryn Coates and her network of mums,
whoprovidedadviceonchildhoodconditionsandonwomen’shealth,
andonthesortofconcernsandqueriesthattheyhopedtheirpharma-
cistswouldanswer.
AlisonBlenkinsopp
PaulPaxton
JohnBlenkinsopp
vi PREFACE
Plates1,4,6,7,8,10,11and13fromRobinGraham-BrownandTony
Burns. Lecture Notes Dermatology, 9th edition. Oxford: Blackwell
Publishing,2007.Reproducedwithpermissionfromtheauthors.